36D2159662 CLIA NUMBER - WALMART PHARMACY #10-3515

Laboratory Demographics

  • CLIA Code: 36D2159662
  • Facility Name: WALMART PHARMACY #10-3515
  • Facility Address: 540 HARRY SAUNER RD
    HILLSBORO, OH
    ZIP 45133
  • Facility Phone: 937 840-9459
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TODD A. COOPER
  • NPI Number: 1679590871
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2159662
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-3515
Street 540 HARRY SAUNER RD
City HILLSBORO
State OH
ZIP 45133
Phone 937 840-9459
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Pharmacy
Lab Director TODD A. COOPER

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This page was last updated on: 9/29/2025